节点文献
新疆地区不明原因慢性咳嗽的病因分布
Etiology for patients with chronic cough in xingjiang
【摘要】 目的观察新疆地区不明原因慢性咳嗽的病因分析。方法对于入选的慢性咳嗽患者,在询问病史和查体的基础上,进行诱导痰、肺通气功能、气道高反应性测定、X线胸片、鼻窦X线片或CT、24h食管PH值监测等检查。结果共收集慢性咳嗽患者148例,年龄17~72岁,平均咳嗽时间(64±76)个月(2~280个月)。慢性咳嗽病因依次为嗜酸粒细胞性支气管炎33例次(22.5%),鼻炎/鼻窦炎25例次(17.2%),咳嗽变异性哮喘20例次(13.8%),变异性咳嗽18例次(12.2%),胃食管反流性咳嗽17例次(11.7%),其他病因28例次(18.7%),病因未明6例次(4.0%)。结论嗜酸粒细胞性支气管炎和变异性咳嗽是新疆地区慢性咳嗽的重要病因。
【Abstract】 Objective The spectrum and frequency of causes for chronic cough were explored in xingjiang. Methods A total of 148 patients with at least 3 weeks of chronic cough,The diagnostic protocol included history inquring and physical examination,pulmonary function tests,induced sputum cell differentials,24 h esophageal pH monitoring,CT of the paranasal sinuses or chest,fiberoptic rhinoscopy or bronchoscopy. Results The five most important causes of cough were: eosinophilic bronchitis(n=33,22.5%),rhinitis and/or paranasal sinusitis(PNDs,n=25,17.2%), cough-variant asthma(n=20,13.8%),atopic cough(n=18,12.2%),and gastroesophageal reflux(n=17,11.7%). Conclusions Eosinophilic bronchitis and atopic cough are important causes of chronic cough.
【Key words】 chronic cough; eosinophilic bronchitis; asthma; rhinitis; gastroesophageal reflux;
- 【文献出处】 临床肺科杂志 ,Journal of Clinical Pulmonary Medicine , 编辑部邮箱 ,2007年06期
- 【分类号】R56
- 【被引频次】7
- 【下载频次】70